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Individual
NANCY ANNE NOVAK
Active
Individual
NANCY ANNE NOVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
001861-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156002158
—
NY
Enumeration date
12/14/2011
Last updated
12/14/2011
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